2 Equal Payments - No Interest - 60 Days Same As Cash
3 Equal Payments - No Interest - 90 Days Same As Cash
4 Equal Payments - [Adds a one-time service fee of $75.00]

All Installment Loans will be charged a one-time non-refundable loan origination fee of $100.00. No Credit Checks, MPR 1.249%/APR 14.99%, Full term interest must be paid, but there will be no early termination fee. Credit Application, Minimum Purchase Amount, Minimum Down Payment and Promissory Note Are Required for all installment loans.

6 Monthly Installments
12 Monthly Installments
18 Monthly Installments
24 Monthly Installments*

* EXTENDED FINANCING: 24 Month Financing is not available on purchases under $1,000.00

SECTION 2: Please provide your name and contact information:

* First Name:
* Last Name:
* Street Address: (You must provide a physical address.)
* City:
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* Daytime Phone:
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* Email Address:
* Best Time To Call You:	9 AM - Noon   Noon to 5 PM Any time between 9 AM and 9 PM
* Your Time Zone:
SECTION 3: Course Selection and Referring Source information * I Want To Enroll In... (Check All Applicable)	Combination Courses: Ultra Combination All-In-One Full On-Line Course Medical Transcription & Coding Combination Medical Coding & Billing Combination eBook Mega Combination All-In-One CD-ROM Based Course Medical Office Manager Combination Medical Office Specialist Combination Legal Transcription & Paralegal Combination Single Core Courses: Medical Transcription Medical Coding Medical Billing Legal Transcription Paralegal/Legal Assistant Specialty Modules or Add-Ons: Medical Terminology Only (TO) Medical Transcription Practice Only (TP) Surgical Compendium Only (SC) English Grammar Primer (EG).
* I was referred to Meditec by: IF YOU HAVE A COUPON: Enter Coupon Number: Enter Expiration Date:	Google Search Yahoo Search MSN Search AltaVista Search Other Search Engine: Which Search Engine? Friend/Family Member A Meditec Student: Enter Student's Name A Meditec Affiliate: Enter Affiliate's Name & Number Other: Please Specify:

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